NPI | 1164098182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 083788-23) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NH 03788-21) |
363L00000X Nurse Practitioner (Licence: NH 083788-23) | |
Enumeration Date | 2021-06-01 |
Last Update Date | 2023-05-18 |